Health Care

This section analyzes 12 occupations in the Health Care sector that are projected to grow 12 percent from 2014 to 2018 and provides
recommendations for the workforce development system on how to best prepare future health care workers. With one in every 10 jobs in the region being
health-related, health care employment was unaffected during the Great Recession, growing 11 percent, while overall county employment fell 6 percent.

OCCUPATIONS BY AGE

This chart shows the proportion of age groups by occupation in San Diego County in 2014. Overall,
about one-third of the San Diego Health Care workforce in these 12 occupations were under 35 years of age,
about half were between ages 35-54, and one-fifth were 55 or older. With this portion of the workforce nearing
retirement age in San Diego, older workers need to pass down experiential knowledge to younger workers to ensure
continuity of care.

CURRENT & PROJECTED EMPLOYMENT BY OCCUPATION

The regional employment outlook for the 12 Health Care occupations studied is bright, as average job growth is
expected to double for all occupations in California and nation-wide. These occupations are expected to add employment
by 12 percent (7,466 jobs) in San Diego County between 2013 and 2018. This table shows the projected number of workers
needed for the occupations in San Diego County from 2013 to 2018. Annual openings include both new jobs due to industry
expansion and replacement jobs. The total number of registered nursing positions in San Diego is expected to increase
by 8 percent from 2013 to 2018 with more than 800 annual openings over the next five years. Overall, San Diego County
will have just over 2,800 job openings per year over the next five years

MEDIAN HOURLY WAGE BY OCCUPATION

Median wages for the 12 Health Care occupations in San Diego County are presented here. The median wage for
Health Care jobs was $27.45 per hour in 2013 in San Diego County. The highest paid Health Care occupations in San
Diego County are physician assistants at $46.88/hour.

POSTSECONDARY PROGRAM COMPLETERS

In total, in 2012-2013 San Diego County postsecondary institutions awarded more than 4,200 certificates
and degrees in programs related to the 12 Health Care occupations. One-third of all awards went to medical assistants
while 30 percent went to registered nurses.

ROP i COMPLETERS

Regional Occupational Programs (ROPs) offer courses thattrain students for entry-level employment in Health Care occupations, such as medical assistants,
nursing assistants and home health aides. These programs are available to students at four high school and adult school locations in San Diego County.

Source:
San Diego County Office of Education, 2014.

Courses

School

2012-2013Completers

Home health aide

Las Villas del Norte Health Center

54

Medical assistant/admin

Escondido Adult School

15

Medical assistant/admin/clinical

Escondido Adult School

27

Medical assistant/clinical

Vista Adult School - Sunset Campus

93

Nurse assistant

Las Villas del Norte Health Center

91

Nurse assistant

Poway Adult School

102

Nurse assistatnt/home health aide

Las Villas del Norte Health Center

30

Total

412

DEMAND VS. SUPPLY i

Training Gap Analysis: A job gap is created when the number of qualified workers available does not meet the number of jobs that employers are trying
to fill. Analyzing employer demand versus worker supply helps identify areas in which education and training providers can concentrate their investments and
efforts. This gap analysis assesses the projected supply and demand for each of the 12 Health Care occupations studied in San Diego County. By comparing the
number of annual graduates to the number of projected annual openings (both new and replacement jobs), the gap analysis helps determine if the level of supply
for these occupations is enough to meet the projected demand.

Overall, the number of program graduates exceeds the number of available positions in San Diego County. Specifically, medical assistants, medical coders,
registered nurses and respiratory therapists have an oversupply. The oversupply of medical coders may be a result ofthe new coding regulations (ICD-10-CM)
implementation over the next year; therefore, coders need to be retrained in the new system. Occupations for which there is a significant annual undersupply of
trained workersinclude home health aides, certified nursing assistants, medical lab technicians and clinical lab scientists.

Occupation

Average AnnualJob Openings

Average AnnualGraduates

Difference (Under/Oversupply)

Clinical laboratory scientists

460

212

-248

Home health aides

470

195

-275

Medical & clinical laboratory technicians

109

42

-67

Clinical laboratory scientists

70

4

-66

Physician assistants

43

0

-43

Health care social workers

66

30

-36

Occupational therapy assistants

20

19

-1

Licensed vocational nurses

308

381

73

Respiratory therapists

29

263

234

Medical coders

78

388

310

Registered nurses

822

1,268

446

Medical assistants

340

1,422

1,082

Total

2,815

4,224

1,409

EMPLOYER EXPECTATIONS OF 12-MONTH EMPLOYMENT CHANGE

EMPLOYER-REPORTED DIFFICULTY IN HIRING

In addition to identifying regional supply gaps, analyzing employer difficulty in hiring for specific occupations provides a greater understanding of
which occupational training programs should be developed to address employer needs. Employers reported at least some difficulty in finding qualified applicants
for all 12 Health Care positions.